Featuring hospital and health care headlines from the media and Web from November 6-November 13.

Support ’em with makeovers
Jane Klingson, a volunteer cosmetologist at the Trinity Regional Medical Center Cancer Center, sees her work with the Look Good … Feel Better program as more than a chance to make a difference.  It’s helping cancer survivors or women fighting cancer get back what they might have lost to the disease.  November 9, Fort Dodge Messenger)

Iowa State engineers develop 3-D software to give a view inside the body
James Oliver picked up an Xbox game controller, looked up to a video screen and used the device’s buttons and joystick to fly through a patient’s chest cavity for an up-close look at the bottom of the heart.  And there was a sight doctors had never seen before: an accurate, 3-D view inside a patient’s body accessible with a personal computer.  (November 11, Genetic Engineering & Biotechnology News)

Unity receives grant money to help flood victims
Help is available for Muscatine County residents still feeling overwhelmed by the 2008 flood or other natural disasters.  Unity Healthcare New Horizons recently received a $19,360 grant to help prevent substance abuse in connection with natural disasters and to treat flood survivors who are struggling with substance abuse or other issues. (November 7, Muscatine Journal)

Local medical team returns from Kenya
Michele Burnes, a physician’s assistant at the Urbana Family Medical Clinic and at Virginia Gay Hospital, and Sharon Dieter, a nurse at Virginia Gay Hospital, recently returned from Kenya, where they were part of an eastern Iowa team working at a medical clinic founded by Spanda, Inc., a non-profit organization founded by Cedar Rapids optometrist DeAnn Fitzgerald.  (November 11, Cedar Valley Daily Times) 

McDonald house, Miller provide needed support
Brenda Miller’s job goes beyond fund-raising and administrative work. As executive director for the Ronald McDonald House, she often lends an ear to family members who need to talk or celebrate a milestone in their child’s life. She also works with a 26-member board of directors and manages a staff of four people.  (November 11, Des Moines Register) 

Construction begins on new VA Clinic
It’s official – and being Veterans Day, the time and place were only fitting. On behalf of the U.S. Dept. of Veterans Affairs, members of the VA Central Iowa Health Care System formally announced the future opening of its third Community Based Outpatient Clinic Wednesday at the former Econo Foods building in Marshalltown.  (November 12, Marshalltown Times Republican)

State workers debate merits of givebacks
Unions in Iowa so rarely give up the hard-fought provisions locked into their contracts that some state employees are warning fellow workers not to do it now – even if it means 479 of them will be laid off.  (November 12, Des Moines Register) 

U.S.  Headlines

Making health care better
The crisis behind the health care debate is about one thing above all: the scattershot nature of American medicine. The fee-for-service payment system – combined with our own instincts as patients – encourages ever more testing and treatments. We’re not sure which ones make a difference, but we keep on getting them, and costs keep rising. Could the evidence-based medicine practiced at Intermountain Healthcare could be the cure for American health care?  (November 8, New York Times Magazine)

An interview with Dr. Donald Berwick
Dr. Berwick about the dynamics of the health overhaul debate. He says that most of the focus has been on cutting costs and finding the money to cover the uninsured. But often lost in the legislative tussling is a third, just as important goal: Improving the quality of care.  (November 12, Kaiser Health News) 

U.S. health care sector is a fairly green giant
According to the first estimate of the sector’s carbon footprint, the healthcare industry emits less than its share of the gases that promote global warming, compared to its size in the economy. Hospitals, nursing homes, drug companies and the rest of the sector contributed 8 percent of U.S. emissions. Hospitals are the biggest offenders, a finding that may motivate more of them to audit their energy usage and plant rooftop gardens – as one big Chicago hospital has done.  (November 11, Associated Press) 

Doctors embrace social networking
Doctors around South Florida and the rest of the country are using the social networking tools to bring patients’ families and the general public into operating rooms, sometimes sharing step-by-step medical procedures. They favor the real-time updates and videos as a way to reduce the fear factor of surgeries and educate people about the realities of certain procedures, especially new ones.  (November 11, Miami Herald)

The medical industry grumbles, but it stands to gain
The business world found plenty to complain about as it assessed the House bill that would make sweeping changes in the healthcare system and extend insurance coverage to millions more Americans. Insurers do not like the provision to create a new government-run insurance program. Drug makers oppose billions of dollars in rebates they would have to give to the government over 10 years. Medical devices are not happy about the proposed 2.5 percent tax on their products.  (November 8, New York Times) 

Current ‘death panel’ uproar echoes decades-old controversy
It was early summer. A senior federal health official wrote a memo suggesting that living wills – documents that can convey patients’ wishes about when to end life support – could help curb health-care costs. The memo leaked to the media. By August, a New York Times’ column said the official ‘likes euthanasia.’ Sound like this year’s angry August? Well, this story unfolded in 1977.  (November 10, Kaiser Health News) 

Dutch view of choice in U.S. care: it’s limited
The health system in the United States may be twice as expensive as those in Europe, and the population may be less healthy, but at least Americans have access to many more choices of doctors and insurers. Right?  No, says Ab Klink, the Dutch health minister.  (November 9, New York Times)

 

Iowa Headlines

One of the uglier and most misleading statements to come out of the debates over health care reform has been the contention that the current House bill would enact a “death panel” that would decide who would and would not receive health care.  Others have said the bill requires Medicare recipients to receive end-of-life counseling that will encourage assisted suicide and euthanasia.

Such ridiculous accusations would be laughable if the issue of end-of-life care was not so serious and misunderstood.

What the bill actually does is, for the first time, authorize Medicare to pay physicians when they provide end-of-life counseling at the request of a Medicare patient.

Along with health care providers, consumer organizations and groups representing senior citizens support this provision because it will encourage people to think and do something about end-of-life care, like drafting a living will or issuing a durable power of attorney.  By bringing physicians into the discussion and process, it’s more likely that a patient’s wishes will be respected.

Advance directives – living wills and durable power of attorney – are important to hospitals because they can determine the course of care for a seriously ill or injured patient.  To help patients, their families and their physicians, IHA has joined with the Iowa Medical Society and Iowa State Bar Association to distribute brochures on advance directives to hospitals across the state.

In fact, hospitals are required by the federal government to ask adult patients if they have advance directives and to provide assistance in drafting advance directives if a patient desires.  That requirement was created under federal law nearly 20 years ago.